Eczema: Definition, Causes, Treatments & Pictures

What Is Eczema?

Eczema is a common skin condition marked itchy and inflamed patches of skin. It is also known as atopic dermatitis. It is more common in babies and young children. It occurs on the faces of infants, as well as inside the elbows and behind the knees of children, teenagers, and adults. It is caused by an overactive immune system. Up to 20 percent of children and one to three percent of adults develop atopic dermatitis, according to the American Academy of Dermatology. In rare cases, atopic dermatitis can first appear during puberty or adulthood. It affects males and females equally.

When people refer to eczema, they usually mean atopic dermatitis, which is the common and chronic type of eczema. Other types include:

Find out if you're eligible to participate in an atopic dermatitis clinical trial

An eczema flare-up is when one or more eczema symptoms appear on the skin. The cause of eczema is not fully understood.

It is thought to be triggered by an overactive immune system that responds aggressively to the presence of irritants.

Eczema is sometimes caused in part by an abnormal response to proteins that are part of the body. Normally, the immune system ignores proteins that are part of the human body and attacks only the proteins of invaders, such as bacteria or viruses. In eczema, the immune system loses the ability to distinguish between the two, which causes inflammation.

Common triggers of eczema flare-ups include:

Other triggers include stress, food allergies, animal dander, and upper respiratory infections.

Eczema is characterized by itchy, dry, rough, flakey, inflamed, and irritated skin. It can flare up, subside, and then flare up again. It can occur anywhere but usually affects the arm, inner elbow, back of the knee, or head (particularly the cheeks and the scalp). It is not contagious and becomes less severe with age.

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Eczema: Definition, Causes, Treatments & Pictures

Psoriasis – NHS Choices

Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales.

These patches normally appear on your elbows, knees, scalp and lower back, but can appear anywhere on your body.Most people are only affected with small patches. In some cases, the patches can be itchy or sore.

Psoriasis affects around 2% of people in the UK. It can start at any age, but most often develops in adults under 35 years old. The condition affects men and women equally.

The severity of psoriasis varies greatly from person to person. For some people it's just a minor irritation, but for others it can havea major impact on their quality of life.

Psoriasis is a long-lasting (chronic) disease that usually involves periods when you have no symptoms ormild symptoms, followed by periods when symptoms are more severe.

Read more about the symptoms of psoriasis.

People with psoriasis have anincreased production of skin cells.

Skin cells are normallymade and replaced every three to four weeks, but in psoriasis this process only lasts about three to seven days. The resulting build-up of skin cells is what creates the patches associated with psoriasis.

Although the process isn't fully understood, it's thoughtto be related to a problem with the immune system. The immune systemis your body's defence against disease and infection, but for people with psoriasis, it attacks healthy skin cells by mistake.

Psoriasis can run in families,although the exact role that genetics plays in causing psoriasis is unclear.

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Psoriasis - NHS Choices

5 Tips for How to Reduce Inflammation – KrisCarr.com

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When I started connecting the dots between my diet and lifestyle, chronic inflammation and disease, I felt empowered to take charge of my health. Why? Because our daily choices are the root of chronic inflammation.

Over the past decade, Ive renovated everything from my grocery cart to my makeup bag to my mind in an effort to upgrade my immune system. And as I moved from a stressful life full of fast food, toxins, and bad boyfriends to a more balanced existence filled with plant-passionate nourishment, inner growth and conscious living, I started experiencing the perks chronic inflammation decreased and my body started working with me to heal and rebuild.

Want to start connecting the dots in your own life? First, lets learn about acute and chronic inflammation, since they play very different roles in our everyday health. Then, well cover the causes of chronic inflammation and how to reduce its impact on your health.

Acute inflammation is your bodys natural and helpful immune response to tissue damage. When you fall off your bike, the cut swells, reddens and feels inflamed! These are all signs that your immune system is busy at work sending white blood cells to the site of your injury to repair the tissue. In this situation, inflammation is our friend we couldnt live without it.

Chronic inflammation is your bodys confused and damaging immune response to a barrage of environmental, physical and mental invaders, which come in the form of things like poor diet, toxic chemicals and stress. Ive written about chronic inflammation in all of my books because its such a huge piece of our health challenges today. Its also the type of inflammation were focusing on in todays post. Heres chronic inflammation in a nutshell from my latest book, Crazy Sexy Kitchen:

Theres a silent (yet violent) kind of inflammation that can take place without you even knowing it. What you eat, drink, and think (stress!), environmental toxins, smokin, booz- in, and even a couch-potato lifestyle can create a fiery cascade of inflammation in your body. When your body hits an inflammatory overload, your defense system gets so overwhelmed and confused that it literally doesnt know the difference between the invader and you. As a result, your well-meaning immune system turns on itself, destroying healthy cells, tissue, and everything else in its wake. Its like when Al Pacino played Tony Montana in Scarface. He mows down everything in sight, yelling, Say hello to my little friend! In a word: shit.

Chronic inflammation is triggered by numerous factors, but most of them are within your control and can be avoided or replaced. Take a look at this list. Anything sound familiar?

There are countless other causes of chronic inflammation, but these are some of the biggies. If you dont think that these things are a risk to your long term health think again. Next stop, the toll they take on your well-being.

Over time, chronic inflammation wears out your immune system, leading to chronic diseases and other health issues, including cancer, asthma, autoimmune diseases, allergies, irritable bowel syndrome, arthritis, osteoporosis, and even (gasp!) appearing older than your years. Unfortunately, these challenges are often only treated with drugs and surgery, which may provide temporary relief from the symptoms, but do not treat the root of the problem. In addition, these drugs (and their side effects) sometimes only add to your health problems.

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5 Tips for How to Reduce Inflammation - KrisCarr.com

Inflammation Affects Every Aspect of Your Health

Dr. David M. Marquis, DC, DACBN

Inflammation controls our lives. Have you or a loved one dealt with pain, obesity, ADD/ADHD, peripheral neuropathy, diabetes, heart disease, stroke, migraines, thyroid issues, dental issues, or cancer?

If you answered yes to any of these disorders you are dealing with inflammation.

Sadly, most of us are suffering from one or more of these disorders but have no idea how to eliminate inflammation. Most doctors are utilizing pharmaceuticals in lieu of getting to the root cause.

It often seems extremely foreign to most people when they realize the majority of inflammatory diseases start in the gut with an autoimmune reaction which progresses into systemic inflammation. To truly be effective at managing or hopefully overcome a disease it needs to be addressed on all levels. Taking a look at where this process starts is the key.

Your gut is made of an incredibly large and intricate semi-permeable lining. The surface area of your gut can cover two tennis courts when stretched out flat.

Its degree of permeability fluctuates in response to a variety of chemically mediated conditions. For example when your cortisol is elevated due to the stress of an argument or your thyroid hormone levels fluctuate due to burning the midnight oil your intestinal lining becomes more permeable in real time.

Then you sit down to eat and partially undigested food, toxins, viruses, yeast, and bacteria have the opportunity to pass through the intestine and access the bloodstream, this is known as leaky gut syndrome, or LGS.

When the intestinal lining is repeatedly damaged due to reoccurring leaky gut syndrome, damaged cells called microvilli become unable to do their job properly. They become unable to process and utilize the nutrients and enzymes that are vital to proper digestion. Eventually, digestion is impaired and absorption of nutrients is negatively affected. As more exposure occurs, your body initiates an attack on these foreign invaders. It responds with inflammation, allergic reactions, and other symptoms we relate to a variety of diseases.

So you might ask, what's the harm of inflammation and ongoing allergic reactions?

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Inflammation Affects Every Aspect of Your Health

Cooling Inflammation: Anti-inflammatory Diet

Components of an Anti-inflammatory Diet (focus on meats, fish, eggs and leafy vegetables) Note: All food is unhealthy without gut bacteria adapted to the food. See other posts on repair of gut flora. Low starch and other simple sugars -- insulin and high blood glucose are inflammatory; so use complex polysaccharides (not starch); starch only in small portions (1/2 banana or one side of a hamburger bun) and preferably in unprocessed, less available forms, e.g. coarse ground or fat coated -- bread with butter; less than 30 gm in any meal, less is healthier, grains are frequently a problem -- gluten intolerance No high fructose corn syrup -- high free fructose (in contrast to sucrose) is inflammatory and contributes to crosslinking of collagen fibers, which means prematurely aged skin; sucrose is much better than alternative sweeteners High ratio of omega-3 to omega-6 fats -- most vegetable oils (olive oil is the exception) are very high in omega-6 fats and are inflammatory and should be avoided; omega-3 fats from fish oil cannot have their full anti-inflammatory impact in the presence of vegetable oils; omega-3 supplements are needed to overcome existing inflammation -- take with saturated fats No trans fats -- all are inflammatory Probiotics and prebiotics -- the bacteria in your gut are vitally important in reducing inflammation; most of the bacteria that initially colonize breastfed babies and are also present in fermented products seem to be helpful; formula quickly converts baby gut bacteria to inflammatory species and should be avoided completely for as long as possible to permit the babys immune system to mature (at least 6 months exclusive breastfeeding.) Saturated fatsare healthy and reduce the peroxidation of omega-3 fatty acids at sites of local inflammation, e.g. fatty liver. Saturated fats should be the major source of dietary calories. Vegetable antioxidants -- vegetables and fruits, along with coffee and chocolate supply very useful, anti-inflammatory anti-oxidants Sensible daily supplements: 1,000 mg vitamin C; 2,000-5,000 i.u vitamin D3 (to produce serum levels of 60ng/ml); 750 mg glucosamine Associated anti-inflammatory lifestyle components:

exercise (cardiovascular and muscle building),

minimizing body fat,

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Cooling Inflammation: Anti-inflammatory Diet

Inflammation of Carotid artery and neck pain – Undiagnosed …

There may ALWAYS be more to it than meets the doc's eyes...KNOW YOUR BODY AND BE YOUR OWN ADVOCATE.....NEVER, NEVER, NEVER GIVE UP IN YOUR SEARCH FOR YOUR GOD-GIVEN RIGHT TO GOOD HEALTH!

I'm a 56 year old woman who has been suffering debilitating pain in the right carotid area, spreading to the entire jawline, facial nerves (in the v3 area of the trigenimal nerve.) At age 44, after a rather damaging accident, I had reconstrucitve surgery on my face including the nose, upper jaw, and lower jaw. Facial bones had to be cut, sawed, then screwed, plated, and sewn back into place. It was close to a one year recovery. However, after approximately 2 months after that massive and painful surgery, I developed pain in my lower right jaw that no amount of meds OR doctors seemed to be able to help.

Unknowing dentists pulled teeth, others scratched their heads, many let me know they believed I was simply an hysterical woman and referred me on (probably to one of their worst enemies!)Yes! I went to all of the right specialists...from the Parker Mahon Facial Pain Center @ Florida State University in Gainsville, to Baylor Hospital in Dallas, to Cedars Sinai Facial Pain Center in Beverly Hills. In between, I sought naturopathic remedies, massage, accupuncture as well as accupressure, an. blue light laser treatments. I even sought out a Cunendero (3rd world country voodoo healer) in Central Mexico. Today I laugh but, as many of you may understand, when dealing with long-term, non-stop, chronic suffering with chronic pain, one can find themselves searching for any answer, medical, naturopathic, or mystical.

Fortunately, Dr. Stephen Graff-Radford, the Director of the Facial Pain Center at Cedars-Sinai gave me a diagnosis of atypical trigeminal neuralgia. Because the prognosis is poor, it has been labeled "the suicide disease" and many choose to end their lives rather than live with the level of pain. At the time I lived in Oklahoma but, in order to follow his treatment plan for me and to be able to take advantage of his expertise in medication trials and cutting-edge procedures, I moved to LA for 8 months. And, while the pain decreased significantly, it never decreased enough for me to be able to return to my profession. To date, I have lost my 15 year career as a graduate level statistics professor, my social life along with many friends who just couldn't reconcile the "but you look fine" with my constant complaints of pain.I am no longer able to scuba dive, snow ski, swim, hike, run, or even walk. The very least of those movements jar my body, causing an exacerbation of the pain in that angle of the jaw.Speaking, smiling, chewing food, kissing my guy (he left due to my medical problems, too!), brushing my teeth, the electrical shocks to my face, the facial muscle spasms, ...all of those are symptoms of trigeminal neuralgia.I've had 5 surgeries over 9 years in 4 states, (one experimental to build a new mandible out of my hip bone to protect the exposed trigeminal nerve.)

Of course, as we doctor hoppers know, doctors like to be correct. I kept insisting that I was (and had for the past 9 years) absolutey positive that I was experiencing multiple problems in that area and that there simply had to be something someone was overlooking. FINALLY, I made the decision to go to Mayo Clinic in Scottsdale, AZ. I purposefully gave them very little information other than the suggested diagnosis and a history of the 5 surgeries to the area. NEVER have I been treated with such dignity and respect. The "it's in your head" attitude is non-existent. To date, I have been going to Mayo Clinic for approximately 8 months while the various specialists put forth their theories about the nature of the underlying cause of my jaw/facial/neck/breast, shoulder pain. After 11 years, another few months is nothing when searching for the right diagnosis and resolution. I have undergone more MRI's, more CAT scans, more bone density tests...to rule out various possibilities.

After many tests by many doctors, the Director of Neurosurgery suggested that, given what little could be seen in the MRI & CAT scan (too many metal plates and screws are in the way), his recommendation was to see another physician there and begin Radiofrequency Alblation (RFA) on the V-3, V-2, and occipital nerves. This would SURELY give me some relief from the Trigenimal Neuralgia. The first RFA helped tremendously on the jaw/artery area. The V-2 and occipital nerve RFA's did nothing. BUT....and PRAISE SOMEONE.....

I had a follow up appointment with Dr. Karl Deleuw at Mayo Clinic who suggested that I might be suffering from Carotidynia, a form of Carotid Artery Disease. He immediately placed me on a dose pak of steroids and, within 8 hours of beginning the med regemine, the pain had decreased from a 9/10 to a 3/10 with even an approximate 2 hours during which I forgot about being a chronic pain patient at all!!While I know I have some permanent nerve damage to the trigeminal nerve from a surgery gone bad, I now firmly believe that, yes! I know my own body! and that, if the Carotidynia can be treated properly, I can manage the trigeminal neuralgia issue. Given that, I MIGHT HAVE A CHANCE AT A NORMAL LIFE AGAIN!!

So, my fellow chronic pain sufferers, keep the faith in your own knowledge of your own body, don't let the doctors discount what you DO know from an experiental perspective, and seek out different specialists if you can afford to do so. Doctor hopping is sometimes the only way to get to the answers. We seem to forget that our good doctors, while the majority of them are well-intentioned and most sincere, have different skill levels as well as different skill sets and it is, untimately, up to us to advocate for our own health. Please, eleven years is simply too long to live in a constant state of severe pain. TRY MAYO CLINIC. I THINK IT IS TO BE MY PHYSICAL, AS WELL AS EMOTIONAL, SALVATION.

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Inflammation of Carotid artery and neck pain - Undiagnosed ...

Parkinson's Disease – Dr. Weil's Condition Care Guide

What is Parkinson's disease?Parkinson's disease is the second most common neurodegenerative disorder worldwide after Alzheimer's disease. Parkinson's affects nerve cells in the part of the mid-brain known as the substantia nigra, responsible for muscle movement. The result is tremors, rigidity, slow movements and difficulties with balance . Its signs and symptoms worsen over time, eventually leading to cognitive problems including dementia. But although Parkinson's may result in disability, the disease often moves slowly, and most people have a number of years of only minor disability following a diagnosis.

The motor symptoms alone are known as parkinsonism - they may be due to Parkinson's disease, or to a number of other causes that may be temporary or reversible.

The disease is named after James Parkinson, a British physician who published the first detailed description of the condition in 1817. Famous Americans including actor Michael J. Fox and boxer Muhammed Ali have the condition, and have raised awareness of it via books, appearances and interviews on behalf of groups such as the National Parkinson Foundation.

What are the causes?There appears to be a genetic component, as people with a first-degree relative who has Parkinson's, such as a parent, child or sibling, are at greater risk. In March of 2011, researchers at Mount Sinai School of Medicine published research indicating that mutations in a gene called LRRK2 are associated with the most common inherited form of the condition.

In addition, and even in people who are genetically predisposed to Parkinson's disease, many experts believe that environmental exposures, such as unusual exposure to herbicides and pesticides, increase a person's risk of developing Parkinson's disease.

Certain drugs, when taken for long periods of time or in amounts greater than recommended, can cause parkinsonism. These include medications such as Haldol (Haloperidol) and Thorazine (Chlorpromazine), used to treat psychiatric disorders, as well as drugs used to treat nausea, such as Reglan (Metoclopramide ). The anti-seizure drug, Depakene (Valproic Acid), also may cause some of the features of parkinsonism, notably severe tremor. These medications do not result in Parkinson's disease, however, and symptoms resolve when the medications are no longer used.

Who is likely to get it?Parkinson's disease generally begins in middle or late life, and the risk continues to increase as people age. Other risk factors include:

What are the symptoms?Initial symptoms may include: an arm that refuses to swing when you walk, a mild tremor in the fingers of one hand or slurred speech. You may lack energy, feel sad or have difficulty sleeping. Daily activities may take longer than normal. Other signs and symptoms can include:

How is it diagnosed?A diagnosis of Parkinson's disease is made based on medical history and a thorough neurological evaluation - there are no specific blood test or x-ray results that can definitively support the diagnosis . Your physician will inquire about any medications you take and whether you have a family member with Parkinson's. The doctor will assess your balance, walking, coordination and dexterity. Even if the symptoms are not apparent to you, a trained physician may detect subtle signs of parkinsonism - reduced facial expressions, a lack of gestures or a slight tremor.

Excerpt from:
Parkinson's Disease - Dr. Weil's Condition Care Guide

Dementia Friends

Get my dad to go to a dementia friends class by nicola Whittam

I am going to be more patient with people with dementia, and embrace their world more openly. I will also share the knowledge I now have with as many people as posssible x by samantha quinnell

Share facts and articles about dementia and latest news on social media, hoping to bring awareness to friends. Blog about nursing dementia patients, and the lessons that come with. by Alexandra Wong

Support my friend with his comndition and show understanding. by Ian Barnes

To tell my friends and family about what I have learned about dementia and to wear my dementia friend badge where ever I go by Lisa Chaffey

Tell friends about dementia and why it is important to have patience and look out for anyone who may be struggling to do a task. by Lauren Mackintosh

Attended first session and told family about what I had learned by Graham Hart

I am a student OT and I will wear my dementia friend badge on my uniform when on placement. by Donna Moy

To continue to raise awareness at my sons school and in the local area ... by Kelly Fraser

Teach my mother about dementia by JOANNE GRIFFITHS

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Dementia Friends

FTD/Dementia Support Blog

* I run a private FTD Patient Support Group on Facebook. Thegroups for FTD Patients Only and is open to those with a firm FTD diagnosis. The support group is a place where those with FTD can gather in a positive environment and realize there not alone. It's also a source of accurate information which is rare in the quick changing world of FTD. The director of AFTD, Sharon Denny is a permanent guest member. AFTD has been kind enough to open up there medical board to answer member questions. Please email me athowardglickftd@gmail.comto join.

Howard

10 years ago FTD entered my life. Forced to leave work on disability being misdiagnosed as bipolar I just disappeared from the 17+ year career I had. My career started in NYC and culminated in Seattle. Then I just disappeared. Never returned calls from friends or associates. My absence was a mystery to many.

Some months ago I was contacted by an old colleague and close friend Dave Ashcraft who had looked me up on the web. I used to manage a string of independent dealerships in North America for a Japanese business equipment manufacturer. Dave is now the VP of of the largest independent dealership in the country, Witt Company, that has dealerships across the Western US including Phoenix. A few weeks ago I was contacted by the President and owner of the company Bill Witt. Bill wanted to come visit me in Phoenix. We met at the Starbucks I frequent. I worked closely with Bill for years and years. You couldn't find a fairer, more honest and astute businessman anywhere. He was also a huge handful to work with. Complicated, but you'd be hard pressed to find a finer individual.

Bill entered Starbucks and his first words were, "Howard Glick, the last time I was with you was March 2x, 200x at the Metropolitan Grill in Seattle. You took me and Gail (wife) out for dinner and bought us a bottle of Jordan wine. Told us you were sick and had to leave Riso. Then I was gone.

Bill rehashed mutual colleagues and friends across the country that I've not thought of in years. Some I remembered, some I didn't. Everyone I used to know was doing well in one form or another. It was good to hear. Bill also discussed the years I worked with him. Told me I was the best manufacturers rep he had from the company I worked for and that I always had his companies interests in the forefront - even if it caused me to have problems with my company. I broke down a couple of times. Tried to explain FTD. Tried to explain how I rarely leave my apt., curse out old ladies without realizing I'm doing anything wrong, frequently eat spoiled food and make inappropriate sexual remarks. Also that I now have frequent swallowing/choking issues and balance issues. Explained how I lost my disability from Unum because I was misdiagnosed which has me living now on the poverty line. Bill asked about longevity. I sort of lied and told him I'll be around for a long time. No one has a crystal ball with FTD, but FTD is marinating nicely and I know my time has become limited at best. At least I'm hoping to move on soon.

Bill told me if there was an emergency and I needed some financial help, not to hesitate to call and actually called someone at the company in front of me to let them know if I called to send out help. I was deeply moved at the gesture, but anyone who knows me knows that I'd be homeless before I'd make that call. Bill said he would visit me on his periodic trips in. There are no words to describe how much Bill's visit meant to me. It's soul shaking what I've lost since we worked together. Sitting here at Starbucks crying as I type. 10 years ago I had a consistent six figure income, kids, and a woman I was madly in love.

Yesterday I received an email from Dave Ashcraft from the same company in Seattle saying he would be visiting me in 4-6 weeks. You were one of the best salesman I've ever known. I'm looking at my schedule and I'm going to plan on coming down to Phoenix for a long weekend in the next 4 - 6 weeks. I'll let you know the exact dates."

Was recently contacted by a childhood friend. I haven't seen Peter Herzog since I left for college 35+ years ago. Peter came from Boca Raton, Fl. last week to look and possibly move to AZ. Peter's son was amazed how we just sort of clicked again like many of us NYC Washington Heights alum do. While we were in the car I pointed to a girl and mentioned what a great ass she had. Both Peter and his 23 yr. old son berated me that she looked really young. Age just didn't click, didn't cross my FTD corroded mind. Of course I'm aware now that she was just a kid and am once again on the edge of tears as I'm typing.

FTDCocktail-

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FTD/Dementia Support Blog

Stem Cells – Times Topics

Dec. 20, 2014

Government-backed Japanese institute Riken accepts resignation of Haruko Obokata, one of its highest-profile scientists, after she fails to replicate research results that were once hailed as breakthrough in stem cell research. MORE

Experimental stem cell procedures, once talked about but not put into practice, are starting to be used in trial settings; as many as 4,500 clinical trials involving stem cells are under way in United States to treat patients with conditions such as heart disease, blindness, Parkinson's and spinal cord injury; enthusiasm for such procedures, however, sometimes outstrips supporting science. MORE

Colleagues of Yoshiki Sasai, leading Japanese life science researcher, say he has taken his own life; Sasai was co-author of discredited stem cell study published in journal Nature that was retracted due to factual errors and allegations of misconduct. MORE

Journal Nature retracts two scientific papers it published that initially electrified biologists by describing easy way to make stem cells; says papers were error-filled and had not been verified by anyone else. MORE

Op-Ed article by evolutionary geneticist Svante Paabo warns against using sequenced genomes of Neanderthals to re-create Neanderthal individuals; contends from an ethical perspective such an idea should be condemned, and argues that using stem cells to create cells and tissues in test tubes for research is far more ethically defensible and technically feasible. MORE

Scientists, reporting in journal Cell Stem Cell, move step closer to goal of creating stem cells perfectly matched to a patients DNA in order to treat diseases; say they have created patient-specific cell lines for 'therapeutic cloning' out of skin cells of two adult men. MORE

Japanese research institute concludes that study published in journal Nature that was once hailed as breakthrough in creating stem cells contains fabricated and doctored images that cast doubt on its findings; singles out study's lead author Haruko Obokata, stem cell biologist, saying she had altered or misrepresented illustrations in her research papers. MORE

Japanese research institute acknowledges that study billed as breakthrough in stem cell research contained spliced image, material recycled from lead author's doctoral thesis, and other mistakes; disclosure threatens to discredit newly acclaimed researcher Haruko Obokata, whose team found that simple acid bath might turn cells in the body into stem cells; findings appeared in journal Nature. MORE

Teruhiko Wakayama, one of the authors of startling study that claimed to have found a simple way to make stem cells, says he is no longer sure of its conclusions; calls for its retraction. MORE

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Stem Cells - Times Topics

Menopause Symptoms, Perimenopause, and Treatment

Menopause facts Menopause is defined as the absence of menstrual periods for 12 months. It is the time in a woman's life when the function of the ovaries ceases. The process of menopause does not occur overnight, but rather is a gradual process. This so-called perimenopausal transition period is a different experience for each woman. The average age of menopause is 51 years old, but menopause may occur as early as the 30s or as late as the 60s. There is no reliable lab test to predict when a woman will experience menopause. The age at which a woman starts having menstrual periods is not related to the age of menopause onset. Symptoms of menopause can include abnormal vaginal bleeding, hot flashes, vaginal and urinary symptoms, and mood changes. Complications that women may develop after menopause include osteoporosis and heart disease. Treatments for menopause are customized for each woman. Treatments are directed toward alleviating uncomfortable or distressing symptoms. Continue Reading

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Medscape. The 2012 Hormone Therapy Position Statement of The North American Menopause Society.

Medscape. The Role of Soy Isoflavones in Menopausal Health.

Rossouw JE; Anderson GL; Prentice RL et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA 2002 Jul 17;288(3):321-33.

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1. iStock

2. MedicineNet

3. iStock

4. Getty Images

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Menopause Symptoms, Perimenopause, and Treatment

Menopause | University of Maryland Medical Center

Introduction

Menopause, is when a woman stops menstruating and can no longer get pregnant, which is a natural event, not a disease or illness. However, for some women the physical and emotional symptoms can be difficult.

Menopause involves hormonal changes that may cause physical symptoms; the ovaries stop producing estrogen and progesterone, the female sex hormones, and estrogen levels decline over several years. That decline can cause:

For some women, menopause may bring on feelings of sadness. However, it is important to remember that menopause does not mean an end to your sexuality, or that you are any less feminine. In fact, some women find the years after menopause to be a time of freedom, when they no longer have to think about having a period or becoming pregnant.

Today, an estimated 50 million women in the United States have reached menopause. Most women will spend at least one-third of their lives in or beyond menopause.

Technically, menopause is considered complete when a woman has not had a period for an entire year. On average, menopause occurs at age 51, but it varies from person to person. Because menopause is a process that happens over several years, it is divided into two phases:

Another type of menopause, known as surgical menopause, happens if both ovaries are removed for medical reasons. This may be done if you have a hysterectomy, the removal of the uterus.

After menopause, women lose the protective effects of estrogen and are at increased risk for osteoporosis and heart disease. There are a variety of treatments available, however, to help ease the symptoms and reduce health risks associated with menopause.

Symptoms of menopause vary from woman to woman. Some studies suggest that the signs and symptoms of menopause may vary between cultural groups. For example, up to 80% of American women experience hot flashes while only 10% of Japanese women have that symptom. Some researchers think that may be due to differences in diet, lifestyle, or cultural attitudes toward aging.

The following are general symptoms of menopause:

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Menopause | University of Maryland Medical Center

Menopause Goddess Blog

Comedy lynette sheppard

Lisa Hartman generously allowed me to reprint her fabulous, funny essay about the Big M. It reads like she was at our first Menopause Goddess gathering. Enjoy!

Open Letter to Women A Change is Gonna Come by Lisa Hartman

You are not, or were not, prepared. It is likely that your body, without your knowledge or consent, will, or already has begun to, upend your perception of yourself and the universe. It will, or already does, suck.

They prepare you for your drivers test, your SAT. There is a plethora of relationship and sex advice. How to cook, garden, use your computer, parent. Classes and books, whole sections of libraries and bookstores devoted to unraveling the mysteries of life. Why, then, the dearth of guidance and information when it comes to mid-life the change that more than half the population will face? Oh, sure, its out there books, articles, even talk shows will address peri/menopause but the event, rather, the slow unfolding process, is a sneak attack in our youth-obsessed culture. You dont seek information or educate yourself before the fact, when it could help you. No, you seek it at 3 am, in a panic, and devour it in the hope that something, anything, can save you now. No one will prepare you, and on the eve of your commitment, your mother will say, Now that you mention it, it was difficult at times. I do remember crying for days on end. Thanks for the heads up, Ma.

The female body is an amazing piece of work. It has ferried you this far, with its cycles, its ebb and flow. Perhaps it has given you children, the miracle of life, and nourished them. You have nurtured and loved, children or not, and built a life on the foundation of this body. A brilliant machine I get it. But what is all this noise about intelligent design? Really? There is intelligence in these screaming, chaotic hormonal fluctuations? Intelligence in the crippling of my sanity? Sometimes, it seems more like a freshman design project. At a party school.

Here is what will happen:

Your teen daughter will look at you, hand on cocked hip, head in that Girlfriend?! tilt. Eye rolling will increase, as will stomping and slamming. You cant blame her, of course she is having her own design issues at the moment and you are useless.

Your young adult sons will also look at you, as if you have sprouted a third eye. Then they will leave. You will weep and gnash your teeth, like a madwoman, in spite of the fact that their departure makes your life much easier. All reason has fled.

Your husband will be a rock. He will shop and cook and still love you. You will catch him, however, muttering, rolling his own eyes and blowing air. It will really piss you off.

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Menopause Goddess Blog

Menopause – NHS Choices

The menopause, sometimes referred to as the "change of life", isthe end of menstruation.

This is where a woman's ovaries stop producing an egg every four weeks. She no longer has monthlyperiods and is unlikely to get pregnant.

In the UK,51 is the average age for a woman to reach the menopause, although some women experience the menopause intheir 30s or40s.

If you experience the menopause before the age of 40, it's known asa premature menopause.

Menstruation (monthly periods) cansometimes stop suddenly when you reachthe menopause. However, it's more likely that your periods will become less frequent, with longer intervals between each one, before they stop altogether.

The menopause is caused by a change in the balance of the body's sex hormones.

In the lead-up to the menopause, known as the perimenopause, oestrogen levels decrease, causingthe ovaries to stop producing an egg each month (ovulation). Oestrogen is the female sex hormone that regulates a woman's periods.

Read more aboutwhat causes the menopause.

The reduction inoestrogen causes physical and emotional symptoms, including:

Read more about the symptoms of the menopause.

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Menopause - NHS Choices

Menopause symptom relief and treatments | womenshealth.gov

Home > Menopause > Menopause symptom relief and treatments

Most women do not need treatment of menopausal symptoms. Some women find that their symptoms go away by themselves, and some women just don't find the symptoms very uncomfortable. But if you are bothered by symptoms, there are many ways to deal with them, including medications and lifestyle changes. Read here about how to deal with specific symptoms and what medication options are available. If you're interested in learning more about menopausal hormone therapy (formerly called hormone replacement therapy) and natural alternatives, you can jump to those sections.

You may find it hard to decide about treatment options like menopausal hormone therapy because of the possible side effects. Talk to your doctor about the possible risks and benefits so you can choose what's best for you. No one treatment is right for all women.

When you talk about treatment options with your doctor, discuss issues like:

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Below are some symptoms that women may have around the time of menopause and tips for dealing with them.

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A number of medications can help with symptoms during the years around menopause.

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Content last updated: September 22,2010.

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Menopause symptom relief and treatments | womenshealth.gov

Hypopituitarism and Hypopituitarism Resources – What is …

What are the symptoms of hypopituitarism? ...

The symptoms of hypopituitarism depend on the specific hormone that is lacking. For example, patients with reduced ACTH secretion have low cortisol levels, which can result in loss of appetite, weight loss, nausea, vomiting, fatigue, weakness and/or lightheadedness. This condition is called "adrenal insufficiency." Patients with reduced TSH secretion have low thyroid hormone levels resulting in a condition called "hypothyroidism". Signs and symptoms of hypothyroidism can include weight gain, fatigue, dry skin, constipation, cold intolerance and hair loss. Women of reproductive age with reduced LH and FSH secretion develop amenorrhea (absence of menstrual periods), infertility, and bone loss due to low estrogen levels. Men with low LH and FSH levels develop low testosterone levels, which results in lack of libido (sex drive), erectile dyfunction, infertility, fatigue, body composition abnormalities (loss of muscle mass and an increase in abdominal fat), bone loss, and sometimes, depression. Low growth hormone (GH) in children leads to short stature. In adults, GH deficiency is associated with a diminished quality of life, body composition abnormalities (including a reduction in muscle mass and increase in abdominal fat mass) and low bone density. Women with low prolactin are unable to breastfeed, but there are no known adverse effects of low prolactin in men.

Pituitary Symptoms

Hypopituitarism is caused by damage to the pituitary gland, usually from a tumor, radiation, surgery. Traumatic brain injury and subarachnoid hemorrhages can also cause hypopituitarism. Occasionally inflammation can cause hypopituitarism and sometimes the cause is unclear. Medications can also cause hypopituitarism. For example, high-dose steroid use can lead to adrenal insufficiency and anabolic steroid use can result in low testosterone that lasts beyond the time in which the medication is used and can be permanent.

Research Studies

The complications of hypopituitarism are due to the specific hormone deficiency. See "What are the symptoms of hypopituitarism" above. Patient with hypopituitarism not receiving appropriate hormone replacement therapies have an increased risk of mortality.

Research Studies

You're likely to start by seeing your family doctor or a general practitioner. However, in some cases when you call to set up an appointment, you may be referred immediately to an endocrinologist, a doctor who specializes in endocrine (hormonal) disorders.

Special Instructions (If available, please bring):

Our clinic assistants will help you update your hospital registration and insurance information.

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Hypopituitarism and Hypopituitarism Resources - What is ...

Pituitary Network Association – Disorders – Hypopituitarism

Hypopituitarism is a general term that refers to any under function of the pituitary gland. This is a clinical definition used by endocrinologists and is interpreted to mean that one or more functions of the pituitary are deficient. The term may refer to both anterior and posterior pituitary gland failure.

Deficient pituitary gland function can result from damage to either the pituitary or the area just above the pituitary, the hypothalamus. The hypothalamus contains releasing and inhibitory hormones which control the pituitary. Since these hormones are necessary for normal pituitary function, damage to the hypothalamus can also result in deficient pituitary gland function. Injury to the pituitary can occur from a variety of insults, including damage from an enlarging pituitary tumor, irradiation to the pituitary, pituitary apoplexy, trauma and abnormal iron storage (hemochromatosis). With increasing damage there is a progressive decrease in function. There appears to be a predictable loss of hormonal function with increasing damage. The progression from most vulnerable to least vulnerable is usually as follows: first is growth hormone (GH), next the gonadotropins (LH and FSH which control sexual/reproductive function), followed by TSH (which control thyroid hormone release) and finally the last to be lost is typically ACTH (which controls adrenal function).

Sheehan's syndrome is a condition that may occur in a woman who has a severe uterine hemorrhage during childbirth. The resulting severe blood loss causes tissue death in her pituitary gland and leads to hypopituitarism following the birth. For more on this Sheehan's syndrome, please visit MedlinePlus on Sheehan's Syndrome.

Deficiency of ACTH resulting in cortisol deficiency is the most dangerous and life threatening of the hormonal deficiency syndromes. With gradual onset of deficiency over days or weeks, symptoms are often vague and may include weight loss, fatigue, weakness, depression, apathy, nausea, vomiting, anorexia and hyperpigmentation. As the deficiency becomes more serious or has a more rapid onset, (Addisonian crisis) symptoms may include confusion, stupor, psychosis, abnormal electrolytes (low serum sodium, elevated serum potassium), and vascular collapse (low blood pressure and shock) which can be fatal. Treatment consists of cortisol administration or another similar steroid (like prednisone). For patients with acute adrenal insufficiency (Addisonian crisis), rapid intravenous administration of high dose steroids is essential to reverse the crisis.

Deficiency of thyroid hormone causes a syndrome consisting of decreased energy, increased need to sleep, intolerance of cold (inability to stay warm), dry skin, constipation, muscle aching and decreased mental functions. This constellation of symptoms is very uncomfortable and is often the symptom complex that drives patients with pituitary disease to seek medical attention. Replacement therapy consists of a daily pill called thyroxine (Synthroid, Levothyroxine etc). The correct dose is determined through blood tests.

Women develop ovarian suppression with irregular periods or absence of periods (amenorrhea), infertility, decreased libido, decreased vaginal secretions, breast atrophy, and osteoporosis. Blood levels of estradiol are low. Estrogen should be replaced and can be given orally as Premarin or estrace, or can be given as a patch applied twice weekly. Women taking estrogen also need to take progesterone replacement (unless they have undergone a hysterectomy). Annual pap smears and mammograms are mandatory.

Men develop testicular suppression with decreased libido, impotence, decreased ejaculate volume, loss of body and facial hair, weakness, fatigue and often anemia. On testing, blood levels of testosterone are low and should be replaced. In the United States, testosterone may be given as a bi-weekly intramuscular injection, a patch form, or a gel preparation. In other countries, oral preparations of testosterone are available.

Growth hormone is necessary in children for growth, but also appears necessary in adults to maintain normal body composition (muscle and bone mass). It may also be helpful for maintaining an adequate energy level, optimal cardiovascular status and some mental functions. Symptoms of GH deficiency in adults include fatigue, poor exercise performance and symptoms of social isolation. GH is only available in injectable form and must be given 6-7 times per week.

This problem arises from damage to the pituitary stalk or the posterior pituitary gland. It may occur transiently after transsphenoidal surgery but is rarely permanent. Patients with diabetes insipidus have increased thirst and urination. Replacement of antidiuretic hormone resolves these symptoms. Antidiuretic hormone (ADH) is currently replaced by administration of DDAVP (also called Desmopressin) a synthetic type of ADH. DDAVP can be given by subcutaneous injection, intranasal spray, or by tablet, usually once or twice a day.

Excerpt from:
Pituitary Network Association - Disorders - Hypopituitarism

Hypopituitary: Learn Hypopituitarism Causes and Symptoms

Hypopituitary Hypopituitary Overview

Hypopituitarism is a condition in which the pituitary gland (a small gland at the base of the brain) does not produce one or more of its hormones or not enough of them. This condition may occur because of disease in the pituitary or hypothalamus (a part of the brain that contains hormones that control the pituitary gland). When there is low or no production of all the pituitary hormones, the condition is called panhypopituitarism. This condition may affect either children or adults.

The pituitary gland sends signals to other glands (eg, thyroid gland) to produce hormones (eg, thyroid hormone). The hormones produced by the pituitary gland and other glands have a significant impact on the bodys functions, such as growth, reproduction, blood pressure, and metabolism (the physical and chemical processes of the body). When one or more of these hormones is not produced properly, the bodys normal functions can be affected. Some of the hormones like cortisol and thyroid hormone may require prompt treatment, whereas others may not be life threatening.

The pituitary gland produces several hormones. Some of the important hormones are as follows:

In hypopituitarism, one or more of these pituitary hormones is missing. The lack of hormone results in a loss of function of the gland or organ that it controls.

Medically Reviewed by a Doctor on 7/30/2014

Medical Author:

James R Mulinda, MD, FACP, FACE

Medical Editor:

Arthur B Chausmer, MD, PhD, FACP, FACE, FACN, CNS

Read more:
Hypopituitary: Learn Hypopituitarism Causes and Symptoms

Hypopituitarism – Symptoms, Diagnosis, Treatment and …

Hypopituitarism is a general term that refers to any under-performance of the pituitary gland. This is a clinical definition used by endocrinologists and is interpreted to mean that one or more functions of the pituitary are deficient. The term may refer to both anterior and posterior pituitary gland failure. Below is a list of the hormones secreted by the pituitary and their functions:

In cases of hypopituitarism, single or multiple hormone deficiencies are present. The deficiencies affect the target organ activity or secretion (the thyroid; the adrenals; or the gonads, which includes both female and male sexual development and function). Causes of hypopituitarism are tumors or lesions of various origins, congenital defects, trauma, radiation, surgery, encephalitis, hemochromatosis, and stroke. In children, the condition results in slowed growth and development and is known as dwarfism. The cause may also be unknown.

Deficient pituitary gland function can result from damage to either the pituitary or the area just above the pituitary, namely the hypothalamus. The hypothalamus contains releasing and inhibitory hormones that control the pituitary. Since these hormones are necessary for normal pituitary function, damage to the hypothalamus can also result in deficient pituitary gland function. Injury to the pituitary can occur from a variety of insults, including damage from an enlarging pituitary tumor, irradiation of the pituitary gland, limited blood supply (as experienced in a stroke), trauma or abnormal iron storage (hemochromatosis). There appears to be a predictable loss of hormonal function with increasing damage. The progression from most vulnerable to least vulnerable is usually as follows:

Additional symptoms that may be associated with this disease:

Men develop testicular suppression with decreased libido, impotence, decreased ejaculate volume, loss of body and facial hair, weakness, fatigue and often anemia. On testing, blood levels of testosterone are low and should be replaced. In the United States, testosterone may be given as a bi-weekly intramuscular injection, in a patch form or as a gel or creme preparation. In some countries, oral preparations of testosterone are available.

Thyroid Stimulation Hormone (TSH) Deficiency Deficiency of thyroid hormone causes a syndrome consisting of decreased energy, increased need to sleep, intolerance of cold (inability to stay warm), dry skin, constipation, muscle aching and decreased mental functions. This variety of symptoms is very uncomfortable and is often the symptom complex that drives patients with pituitary disease to seek medical attention. Replacement therapy consists of a either T4 (thyroxine) and/or T3 (triiodothyronine). The correct dose is determined through experimentation and blood tests.

Adrenal Hormone Deficiency Deficiency of ACTH resulting in cortisol deficiency is the most dangerous and life-threatening of the hormonal deficiency syndromes. With gradual onset of deficiency over days or weeks, symptoms are often vague and may include weight loss, fatigue, weakness, depression, apathy, nausea, vomiting, anorexia and hyperpigmentation. As the deficiency becomes more serious or has a more rapid onset (Addison crisis), symptoms of confusion, stupor, psychosis, abnormal electrolytes (low serum sodium, elevated serum potassium), and vascular collapse (low blood pressure and shock) can occur. Treatment consists of cortisol administration or another similar steroid (like prednisone). For patients with acute adrenal insufficiency, rapid intravenous administration of high dose steroids is essential to reverse the crisis.

Posterior Pituitary Antidiuretic Hormone (ADH) Deficiency Replacement of antidiuretic hormone resolves the symptoms of increased thirst and urination seen in diabetes insipidus. Antidiuretic hormone (ADH) is currently replaced by administration of a synthetic type of ADH either by subcutaneous injection, intranasal spray, or by tablet, usually once or twice a day.

Endocrine substitution therapy is indicated for replacement of hormones for the affected organs. These include corticosteroids, thyroid hormone, sex hormones (testosterone for men and estrogen for women), and growth hormone. Drugs are available to treat associated infertility in men and women.

Growth hormone is only available in injectable form and is usually given 6-7 times per week. Homeopathic GH or IGF has been proven to provide benefits in blinded trials.

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Hypopituitarism - Symptoms, Diagnosis, Treatment and ...

Hypopituitarism: Causes, Symptoms, & Treatment

What Is an Underactive Pituitary Gland?

Your pituitary gland is located just below your brain. It releases eight hormones that each plays its own role in your body processes. Functions range from stimulating bone growth to prompting your thyroid gland to release hormones that control your metabolism.

Hormones produced by the pituitary gland include:

Sometimes, your pituitary gland does not release enough of one or more of these hormones. This underactivity is called hypopituitarism.

Your pituitary gland may stop producing enough of one or more of its hormones if it has suffered trauma. For example, if you have had brain surgery, a brain infection, or a head injury, your pituitary gland may be affected.

Certain tumors can also affect the function of this gland. These include:

Other possible causes of hypopituitarism include:

Sometimes, doctors cant figure out what caused a particular case of hypopituitarism.

The symptoms of hypopituitarism depend on which hormones your pituitary gland is not producing enough of. For example, if the pituitary does not produce enough growth hormone in a child, he or she may have a permanently short stature. Alternately, if it doesnt produce enough follicle-stimulating hormone or luteinizing hormone, it might cause problems with sexual function, menstruation, and fertility.

In some cases, you may not have any symptoms at all. For example, if you are an adult and your pituitary gland does not produce enough growth hormone, you will probably not notice because you have already finished growing. In children, however, this condition is far more noticeable.

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Hypopituitarism: Causes, Symptoms, & Treatment